Comparison of Unipedicular versus Bipedicular Kyphoplasty for Osteoporotic Vertebral Compression Fractures / 대한척추외과학회지
Journal of Korean Society of Spine Surgery
;
: 158-163, 2007.
Artigo
em Coreano
| WPRIM
| ID: wpr-22586
ABSTRACT
STUDY DESIGN:
A retrospective studyOBJECTIVES:
To compare the radiological and clinical results of the unipedicular and bipedicular approach of kyphoplasty for osteoporotic vertebral compression fractures. SUMMARY OF LITERATURE REVIEW A unipedicular rather than a bipedicular technique has been suggested to decrease the risks associated with surgical procedures. MATERIALS ANDMETHODS:
Between July 2005 and May 2006, 136 vertebrae of 97 patients, who underwent kyphoplasty for osteoporotic vertebral compression fractures, were analyzed. Group 1, with the bipedicular approach, consisted of 86 vertebrae of 67 patients with a mean age of 72.2 years. Group 2, with unipedicular approach, consisted of 50 vertebrae of 30 patients with mean age of 73.4 years. The plain radiographs, MRI and surgical records were reviewed.RESULTS:
The mean operation time of the single vertebral body in group 2 was statistically lower than in group 1(p0.05).CONCLUSION:
There were no significant differences in clinical satisfaction and radiological results between the unipedicular and bipedicular kyphoplasty. The advantage of a unipedicular approach is the shorter procedure time than the bipedicular approach. This is particularly useful in multi-level compression fractures. The rate of the unipedicular approach in upper and mid thoracic spine is higher because of the higher convergence of the pedicle and the lower volume of vertebral body despite the disadvantages of instrument insertion through the medial pedicle wall.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Osteoporose
/
Coluna Vertebral
/
Anormalidades Congênitas
/
Imageamento por Ressonância Magnética
/
Estudos Retrospectivos
/
Fraturas por Compressão
/
Cifoplastia
Tipo de estudo:
Estudo observacional
Limite:
Humanos
Idioma:
Coreano
Revista:
Journal of Korean Society of Spine Surgery
Ano de publicação:
2007
Tipo de documento:
Artigo
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